Individual
AGAPITO RACOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SPRING MOUNTAIN RD, LAS VEGAS, NV 89117-3816
(702) 239-7905
(775) 751-0405
Mailing address
889 S RAINBOW BLVD # 134, LAS VEGAS, NV 89145-6238
(775) 751-0405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6553
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019328
—
NV
Enumeration date
07/13/2006
Last updated
08/30/2016
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